Individual provider Active NPI

Desiree A Stelly, DNP, MBA, MSN, CLNC

  • Continuing Education/Staff Development Registered Nurse
  • New Orleans, LA
National Provider Identifier
1255187597
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
RN138610 Issued in LA
Practice address
3100 General Degaulle Dr
New Orleans, LA 70114-6632
Phone
(504) 535-2940
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN138610 LA
Continuing Education/Staff Development Registered Nurse 163WC1600X RN138610 LA Primary

Addresses

Primary practice location

3100 General Degaulle Dr
New Orleans, LA 70114-6632

Mailing address

PO Box 740876
New Orleans, LA 70174-0876
Phone (504) 610-8476

Other practice location 1

401 Hendee St
New Orleans, LA 70114-1405
Phone (504) 610-8476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN138610LAMDAdministrator Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1255187597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740876",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701740876",
            "telephone_number": "504-610-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GENERAL DEGAULLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146632",
            "telephone_number": "504-535-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Hendee St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701141405",
            "country_code": "US",
            "telephone_number": "504-610-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLY",
        "first_name": "DESIREE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP, MBA, MSN, CLNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "LA",
            "license": "RN138610",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "LA",
            "license": "RN138610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.